1977, 03-28 Permit App: M0223 Residence Ceidnfy of Spokane. Wastintgfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE irybd &
PERMIT
rBQtliuse or s scyucty geslnto erect
building
structure
e
kind oalter any bulding orstructurealreadyereted, ortohanaland use. Constructionmust conform with t
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
heEs Water
e, shoulders be
County Roads, permissionand State ealth must bepartments.obtained fromre theork on Countyster Engineer'stOfficeisturbs
the surface,
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SEastACR FROM s required, aLINES.
5' side yard,zones
15' side yardrfrom aost cflankingnstreet,set-back
25' rearthe
yardfront
areproperty
requiredline, of at
leastA25'
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back. and ingress
and egress.
COUNTY formedOinSaccordancestreet
stakes.of-way may Points of ingressperformed
egressnmustntil staked
approved byCounty
theRoad
Countyrtmet andEngineer. work must e
per
IHighwa OclearanceNmustAbeeobtainedrfromrthetCounty Engineerland/orlState HighwaybDepartment,moved on a County or State
High y,
!ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVEienforceablelBuildersld check
Countysions of Officialsocanants or not bringdactionns toand enforcements covenantslng with the land
or dedications.
which
APPLICANT FILL IN BELOW THIS LINE j
Address I� miff Phone / .°--, +'�
Name of Owner � � -- Phone
Address
Architect Phone
Address
Engineer Address Phone
Contractor ��Lp'L"
Legal Description of Propert Give complete description fdeed, tax_ receipt, etc.) AST'f- /0 /ock U from/ � k "T� Ga
E. /431/ - iae /4 oe• x. - i--
Movin Bldg. Fire Zone
DESCRIPTION OF WOR: New - — Addition Remodel 9 Zone /iG
Sewage System 'i onst.
/ '
Size of Lot - �J/7j� (Fr., Conc., Br., etc.) D
f _ , oZ .24 Total Sq. Ft. Valuation
Stories ` Dimension C[I� {►aQ e - Chimn�ireplace
Rooms Baths - Basement ��L✓ Foundation Const.. (Kind) (Number
ull, part, none e$'�'1�i e-y(.l �
Ext. Finish C�� 0 p � Int. Wall Finis
Heat. System Type of Roofing' , e L -•J. No. of Units L Bedrooms
Use of Bldg. c�,` /' ,C�et ; , �e
r/;/6.,i,',7- PLOT PLAN
Draw sketch with diensionsbuildings; (4)mdistancestow
property lines rand lstreets; (5)rdimensions of buildings;((6)llocation ofocatin of existing
sewagesys-
and
proposed
sys-
tem and water supply lines. State License No.
NORTH RESIDENTIAL-COMMERCIWO'i_F--.G32,i (2,---,;2d3-61
Ina. Ins. Acct. No.
gtrliel-14b
�-- REQUI•ED
Plumbing Permit —Ad ' ,` 0.'
us
in Heating Permit le"A A--,`fe
ena
co Sewage Permit /L�.
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify i ormation sub itted i� correct and ere are no other structures located oisproperty except
atirw;.
411 • --" '/4/2 . i-Ab,a4-4/621 - -, 7/
Date
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Jour street address will be
_ / 43// 27-- / 14,_,z. The zone ismss+ '
i Sewage Permit Number Issued Building Permit/PReceipt ? , I ed
Remarks
f":"-.-7 7* 2
. _ - enn n1.J.. r...1e
r
i
z
93'
u �'
I
. :
, .
fa` 1a, .4,, , , , H
1
1 ,\ j
v.Dip,'I. $EPTic . •
4/6,6' \ , .
8 -} I
V ` • i
' cif' 6-.4 .
�. ...... /et
Ig
o,
mit%V$
Zroi0� d6 Lac/ /� ✓ERQA r €Rpc6 ../ ST
410 14/4,I/./••• 's4✓ A/v '
. i
i